LOUIS E LATAIF JR MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****61

NOT RENEWED

N

LOUIS E

LATAIF JR

MD

LOUIS E LATAIF JR MD

11/01/1994

11/01/1994

07/31/1996

CHICAGO

IL

60611

COOK

II III IV V

N

09/26/2006